200 hour Yoga Teacher Training REGISTRATION FORM

The registration questions are an opportunity for us to get to know you, your history, and your visions for completing this training. Please be succinct in your responses. All information shared will be confidential.

Please note that once you begin this online registration, you will be unable to save it to return to at a later time. Because of this, you may wish to be sure you have at least fifteen minutes set aside to complete the registration. 


Please complete the REGISTRATION FORM below

Name *
Name
Cell Phone *
Cell Phone
Address *
Address
Date of Birth *
Date of Birth
Emergency Contact Name *
Emergency Contact Name
Phone *
Phone
About you: Background
(e.g., running—3 times a week; cycle—once a week.)
ABOUT YOU: YOGA TEACHER TRAINING
YOUR COMMITMENT
I am 100% committed to my participation in this training *
Your full commitment and active participation in the program will maximize your experience. Below are the required 6 weekends + 4 practicum dates to complete the training. As a statement of your commitment and understanding of the required dates, please check each weekend intensive + practicum date to confirm your attendance. *
FINAL DETAILS
Are you a current Merritt Clubs member?
Merritt Clubs is a local string of wellness clubs - their Canton location is where our Spring 2019 200-hour program is being held. Members receive a Merritt members discount.
How did you hear about this program? *